| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
309 |
230 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
214 |
179 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
207 |
161 |
$18K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
26 |
26 |
$2K |
| 99000 |
|
110 |
106 |
$3.63 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
1,085 |
1,030 |
$0.00 |
| 94760 |
|
34 |
34 |
$0.00 |
| 99051 |
|
88 |
87 |
$0.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
49 |
49 |
$0.00 |
| 81003 |
|
12 |
12 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
16 |
16 |
$0.00 |